A comparative evaluation of transbuccal versus transoral approach for the management of mandibular angle fractures: A prospective, clinical, and radiographic study

• Published in: Journal of pharmacy & bioallied science Vol. 13; no. 6; pp. 1295 - 1299
• Main Authors: Sehrawat, Kritika, Malik, Bhavna, Vallabha, H, Vaishnavi, Amrutham, Pendyala, Siva, Ibrahim, Mohammed, Binyahya, Fatima
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.11.2021; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Comparative analysis; Fractures; Internal fixation in fractures; Mandible; mandibular angle fracture; Methods; Occlusion; Original; Statistical analysis; transbuccal approach; transoral approach; Mandibular angle fracture; transoral approach; transbuccal approach
• ISSN: 0975-7406; 0976-4879; 0975-7406
• DOI: 10.4103/jpbs.jpbs_112_21

Introduction: In the facial bones, the angle of the mandible is the common site of fractures. Furthermore, it is the site with the highest number of complications after fracture and hence needs an efficient fixation. The right approach is still debatable for the angle fractures. In the light of these factors, we evaluated the transoral and the transbuccal approaches for the treatment of fractures at the angle of the mandible. Materials and Methods: Twenty patients were equally divided into two groups of transoral and transbuccal methods. The parameters such as ease of access, surgical time, occlusion, postsurgical infection, fracture gaps, scarring, and complications were noted, and the values that were compared were statistically analyzed. P < 0.05 was considered statistically significant. Results: No significant variations were seen in the variables such as ease of access, occlusion, postsurgical infection, and fracture gaps. Surgical time was significantly less for the transoral method. Negligible scarring was noted in the transbuccal method. Conclusion: Although both the methods were comparable, the transbuccal approach was more efficient for the mandibular angular fracture treatment.